TY - JOUR
T1 - Management of gallstones in pregnancy
AU - Ghumman, E.
AU - Barry, M.
AU - Grace, P. A.
N1 - Publisher Copyright:
Copyright © 1997 British Journal of Surgery Society Ltd.
PY - 1997/12/1
Y1 - 1997/12/1
N2 - Background: Biliary disease during pregnancy is rare and the management of cholecystitis during pregnancy is controversial. Cholecystectomy in the pregnant patient has generally been avoided because of the reported high incidence of associated fetal loss. Recent developments relating to diagnostic and anaesthetic management have altered the overall approach to symptomatic biliary tract disease in pregnant patients. Methods: The literature was reviewed using Medline searches for cholelithiasis in pregnancy, to include pathophysiology, diagnosis and management. Results: and conclusion Surgery should be performed only for complicated non-resolving biliary tract disease during pregnancy as in over 90 per cent of patients the acute process will resolve with conservative management. For patients requiring operative intervention, laparoscopic cholecystectomy has emerged as a safe and effective method of treatment.
AB - Background: Biliary disease during pregnancy is rare and the management of cholecystitis during pregnancy is controversial. Cholecystectomy in the pregnant patient has generally been avoided because of the reported high incidence of associated fetal loss. Recent developments relating to diagnostic and anaesthetic management have altered the overall approach to symptomatic biliary tract disease in pregnant patients. Methods: The literature was reviewed using Medline searches for cholelithiasis in pregnancy, to include pathophysiology, diagnosis and management. Results: and conclusion Surgery should be performed only for complicated non-resolving biliary tract disease during pregnancy as in over 90 per cent of patients the acute process will resolve with conservative management. For patients requiring operative intervention, laparoscopic cholecystectomy has emerged as a safe and effective method of treatment.
UR - http://www.scopus.com/inward/record.url?scp=85206334369&partnerID=8YFLogxK
U2 - 10.1002/bjs.1800841205
DO - 10.1002/bjs.1800841205
M3 - Review article
AN - SCOPUS:0030668577
SN - 0007-1323
VL - 84
SP - 1646
EP - 1650
JO - British Journal of Surgery
JF - British Journal of Surgery
IS - 12
ER -